- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,359.50 / $29,794.20 / $39,966.30
| Facility | | $14,359.50 | $29,794.20 | $39,966.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,922.61 / $37,922.61 / $37,922.61
| Facility | | $37,922.61 | $37,922.61 | $37,922.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $53,922.46 / $64,116.31
| Facility | | $3,897.00 | $53,922.46 | $64,116.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,325.07 / $30,458.09 / $48,424.35
| Facility | | $25,325.07 | $30,458.09 | $48,424.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $36,595.05 / $48,004.29
| Facility | | $1,350.00 | $36,595.05 | $48,004.29 |